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2023-188Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to Lodellc),townofwavpingeniy.gov or lmeconologLie'e-�,townofWqppingemy. gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni 11 Lynn O'Dell Tdwn Lori McConologue 11 To Date Received: FOIL Ser, #: DEPARTM[ENT: ASSESSOR El ACCOUNTING CODE ENFORCEMENT PLANNING E] ZONING E] FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION SUPERVISOR TOWN CLERK WATER/SEWER DOG CONTROL OFFICER ❑ TOWN ENGINEER E] TOWN ATTORNEY 1:1 Name: Address: Agency or firm: Telephone #: Email address: 6 vi c FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: Date Applicant Contacted: Date F010fulfilled ol- denied Closed by: Date: (init) Notes: Amount Due: Pages for a total of $ FAX 9: 16- 1 f s � 6(VW.a ", I , c cm []check here if you are requesting that the records be mailed to this address. SPECIFIC DESCRIPT ON OF RECORD: V4 6�4ap j!�4 e-rx Fc, A I S Lt, �4 U FORMAT OF RECORD (if available)`)_2 -t'/,; - 6-5--7 Fjf &P-11 Irequest to be notified when I can come to inspect the record(s) described above I request copies of the records described above and agree to pay the cost of such records in accordance with the fee schedule on the back of this application I request that the records be sent via e-mail to the address listed above I request that the records be faxed to the number listed above